National Animal Welfare Reform Profile
Name (all submissions stay confidential)
First Name
Last Name
Email
example@example.com
Name of the Shelter:
Address of the shelter: (if there is no shelter in the area, please see below)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email of the shelter:
example@example.com
Is this a government-run shelter, private rescue, or other?
Are you reporting neglect, mismanagement, abuse, poor conditions, lack of access, or something else?
Overcrowding
High euthanasia rates
Dirty or unsafe conditions
No access to volunteers/public
Lack of medical care
Inadequate leadership or staff behavior
No adoptions happening
Other (please describe)
Please provide any information that may be helpful regarding website, social media, etc.
Please describe your relationship to the shelter:
Please explain your concerns and findings:
Is there an immediate risk to animals or staff?
Are you able to provide any formal statistics from the town/city or county:
Have you tried addressing this concern with leadership or local officials?
Do you believe the shelter has the leadership it needs to improve?
Yes
No
Would you be willing to speak with someone on our team?
Yes
No
In one sentence, what do you wish the public knew about this shelter?
Do you wish to remain anonymous?
If you are reaching out about a specific area that does not have a shelter in place, please explain as much as possible below. Please include WHO is responsible for this area: Sheriff, Mayor, Council, etc.
Please upload any photos or relevant data:
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